国际麻醉学与复苏杂志   2020, Issue (9): 3-3
    
红景天苷减轻脓毒症致小鼠肺损伤的机制研究
任荣荣, 阮正上, 徐震宇1()
1.上海交通大学医学院附属新华医院
The mechanism of salidroside on reducing sepsis induced lung injury
 全文:
摘要:

目的 探讨红景天苷参与减轻脓毒症诱发肺损伤的机制。 方法 将120只ICR小鼠采用随机数字表法分为4组(每组30只):对照组(CON组)、脓毒症组(CLP组)、脓毒症+30 mg/kg红景天苷组(Sal‑L组)和脓毒症+60 mg/kg红景天苷组(Sal‑H组)。每组各取15只小鼠观察7 d存活率;剩余小鼠分别于制模24 h后处死,取肺组织,测定指标:H‑E染色光镜下观察肺组织病理学变化,进行肺损伤评分(lung injury score, LIS),测定干湿比(wet/dry, W/D),ELISA法检测TNF‑α及IL‑6、IL‑1β,Western blot法测定磷酸化核因子‑κB(phosphorylation of nuclear factor‑κB, p‑NF‑κB)。 结果 小鼠7 d存活率CON组为100%、CLP组13.33%、Sal‑L组50.00%、Sal‑H组53.33%,Sal‑L组、Sal‑H组与CON组、CLP组比较差异有统计学意义(P<0.05),但Sal‑L组与Sal‑H组比较差异无统计学意义(P>0.05)。与CLP组比较,Sal‑L组、Sal‑H组的LIS评分及TNF‑α、IL‑6、IL‑1β表达水平均明显下降(P<0.01);Sal‑H组LIS评分、TNF‑α、IL‑6、IL‑1β表达水平均低于Sal‑L组(P<0.01)。与CLP组比较,Sal‑L组、Sal‑H组p‑NF‑κB蛋白水平明显下降(P<0.01)。 结论 红景天苷可能通过抑制NF‑κB磷酸化水平来有效减少小鼠肺组织炎症细胞聚集,减轻肺水肿,同时降低TNF‑α、IL‑6、IL‑1β的表达水平,从而增加脓毒症小鼠的存活率。

关键词: 红景天苷; 脓毒症; 炎症因子; 核因子‑κB
Abstract:

Objective This study aims to find the mechanism of salidroside on reducing sepsis induced lung injury. Methods One hundred and twenty ICR mice were divided by random number table method into 4 groups (n=30): control group (CON group), sepsis group (CLP group), sepsis+30 mg/kg salidroside (Sal‑L group) and sepsis+60 mg/kg salidroside (Sal‑H group). Survival rates of fifteen mice in each group were observed for 7 d while the remaining mice were sacrificed 24 h after model making. The lung tissues were collected. Hematoxylin‑eosin (H‑E) staining of the lung tissues, acute lung injury score (LIS) and wet/dry ratio (W/D) were evaluated. Tumor necrosis factor‑α (TNF‑α) and interleukin (IL)‑6, IL‑1β were detected by enzyme‑linked immunosorbent assay (ELISA). Western blot was used to measure phosphorylation of nuclear factor‑κB (p‑NF‑κB) protein. Results The 7‑day survival rate of mice in the CON group was 100%, whereas the survival rates were 13.33%, 50.00% and 53.33% in the CLP group, in the Sal‑L group and in the Sal‑H group respectively. The survival rates of Sal‑L group and Sal‑H group were statistically significant different with CON group and CLP group (P<0.05), but there was no statistically significant difference in survival rate between Sal‑L group and Sal‑H group (P>0.05). Compared with the CLP group, W/D, the LIS, the expression levels of TNF‑α, IL‑6, IL‑1β in the Sal‑L and Sal‑H groups were significantly decreased (P<0.01). The expression levels of TNF‑α, IL‑6 and IL‑1β of the Sal‑H group were lower than those levels in the Sal‑L group (P<0.01). The expression levels of p‑NF‑κB protein in Sal‑L group and Sal‑H group were significantly lower than the level in CLP group. Conclusions Salidroside effectively reduces the inflammatory cells aggregation in the lung tissues of the mice probably through the NF‑κB signaling pathway. It also eliminates pulmonary edema, reduces the expression levels of TNF‑α, IL‑6, and IL‑1β, which leads to increased survival rate of mice suffered from sepsis.

Key words: Salidroside; Sepsis; Inflammatory factors; Nuclear factor‑κB